Professional Documents
Culture Documents
Applicant Handbook
2015
Issue 1
First published 06/10/2014
Useful Information
This applicant handbook can be downloaded in PDF format from
http://specialtytraining.hee.nhs.uk
This guide is relevant for specialty training in the UK commencing from August 2015.
Recruitment to medical specialty training in Scotland:
http://www.scotmt.scot.nhs.uk/
Recruitment to medical specialty training in Wales:
http://www.walesdeanery.org/
Recruitment to medical specialty training in Northern Ireland:
http://www.nimdta.gov.uk/
You may also like to refer to the following publication available from:
http://specialtytraining.hee.nhs.uk
Foundation Training: www.foundationprogramme.nhs.uk
Version Control
Version
Date
V1.0
17/07/14
V1.1
05/08/14
V1.2
06/10/2014
Changes
Initial draft CK
Updated after feedback from MR, YD, KC. Inclusion of
ACF recruitment process and ATC
Updated following feedback from the Recruitment Sub
Group
V1.3
V1.4
V1.5
V1.6
1. Introduction
This applicant guide is intended to help you make the best possible applications,
starting with your specialty choices and continuing through the entire application
process. In addition to reading this guide you must also ensure that you read the
specialty specific guidance for the specialty/specialties to which you are
considering making an application. Specialty specific applicant guidance will be
available from the recruitment leads for the individual specialties.
Given the high level of competition for many specialties, you may face some difficult
decisions. The section on competition offers some useful information to help you
Where you are struggling to make the difficult decisions, support is at hand. Section
5 offers advice on where this support is available from.
Good luck with your application!
1.1
If you are trying to enter specialty training but are unable to train full time, you may
apply for less than full-time training (LTFT), providing you can show that training on a
full-time basis would not be practical for you for well-founded reasons. Well-founded
reasons may include, for example, disability, ill health, carers responsibilities,
religious commitments and unique opportunities for personal or professional
development.
Less than full-time training must meet the same requirements in specialty and
general practice training as full-time training, except that there will be fewer hours
of work per week.
Please note that you will need to secure a full time post in open competition
before you may work LTFT, although you should apply for eligibility in a
LETB/Deanery ahead of this.
1.2
The following tables show which specialties are recruiting through a national
recruitment office in 2015
Level
All
Specialty
Academic Clinical Fellowship (ACF)
ST1
General Practice
ST1
All
CT1
CT1
ST3
Specialty
Public Health
Chemical Pathology/Metabolic Medicine
Sport and Exercise Medicine
Community Sexual and Reproductive Health
CT1
ST3
ST3
CT1/ST1
ST3
ST1
ST3
ST1
ST3
ST3
ST3
ST3
ST3
ST3
ST1/ST3
ST1 (pilot)/ST3
ST1 (pilot)/ST3
ST4
ST3
CT1
CT1/ST3
ST3
Cardiothoracic Surgery
Paediatric Cardiology
Clinical Genetics
ACCS Anaesthetics
Anaesthetics
Intensive Care Medicine
ST4
All
ST3
ST3
ST3
ST3
ST3
Emergency Medicine
Neurosurgery
Clinical Neurophysiology
Otolaryngology (ENT)
Paediatric Surgery
Trauma and Orthopaedic Surgery
Urology
CT1
CT1/ST4
advertising vacancies
providing helpful information on the recruitment process
receiving online applications
longlisting application received against a set of eligibility criteria
shortlisting based on set criteria and scoring systems (using nationally agreed
person specifications)
interviewing and selecting successful applicants
making offers and receiving acceptances
If you are applying through a national process to one of the specialties listed
above, the following should be consistent whichever college or LETB/Deanery you
apply to (please note that for some specialties these processes will be delivered by
a combination of the LETBs/Deaneries and Royal Colleges as appropriate):
1.3
Oriel is the new portal and recruitment solution that has already been piloted across
21 specialties in 2014. From September 2014 it will be rolled out across all
remaining medical and dental training posts, at all levels, with the exception of
medical foundation training.
With the introduction of Oriel you will be able to register, view vacancies, apply,
book and manage your interviews and respond to offers, all in the one place.
1.4
The ACF recruitment process is run by the National Institute for Health
Research Trainees Coordinating Centre. For details, please visit the NIHR
Trainees Coordinating Centre website http://www.nihrtcc.nhs.uk.
ACF Timetable
Applications open
Applications close
Interview window
Initial Offers out from
Hold deadline
ACF posts in General Practice (Primary Care) are recruited to using the timetable for
standard ST1 General Practice specialty training applications.
Round 1 - CT1/ST1 and Run Through (For August - December 2015 start)
Adverts
Thursday 6 November 2014
Applications Open
At 10am, Tuesday 11 November 2014
Applications Close
At 4pm, Thursday 4 December 2014
Interview Window
Monday 12 January to Wednesday 11 March 2015
Initial Offers out
By 5pm, Thursday 12 March 2015
Hold deadline
At 1pm, Thursday 19 March 2015
Upgrade deadline
At 4pm, Thursday 26 March 2015
Hierarchical deadline
At 4pm, Tuesday 31 March 2015
Please note: There will be a period of Oriel downtime on Thursday 13 November for
planned maintenance. Oriel will be unavailable from 8am to 1pm on this date.
1.5
From the 2015 recruitment rounds, appointments to Academic Clinical Fellow posts
will require applicants to reach appointability in a clinical interview for the specialty
they are applying for.
Applicants who already hold a National Training Number (NTN) or Deanery
Reference Number (DRN) in the specialty that they are applying for academic
training in will have already met the standard to be deemed appointable at a clinical
interview and will therefore only be required to attend the ACF interview panel.
8
Applicants, who do not currently hold either a NTN or DRN in the specialty they
are applying for academic training in, if shortlisted, will be required to attend an
ACF interview. Applicants who are considered appointable at the ACF interview
will be invited to attend a clinical interview for the same specialty. Any academic
offers made will be conditional upon meeting the required appointability
threshold at the clinical interview.
Applicants required to attend a clinical interview who fail to reach the appointability
threshold in that interview will be ineligible for appointment to an ACF post in that
recruitment round. Offers which are made conditional upon meeting the threshold
of the clinical interview, will be withdrawn.
Please note that applicants can only be considered for appointment to the clinical
specialty if they submit a separate application. Applicants who apply for academic
training only in the specialty cannot be considered for appointment to a clinical
training programme in the specialty, regardless of their performance at interview.
See Annex A for Frequently Asked Questions
1.5
Many core competences are common across specialty curricula. When moving from
one approved training programme to another, competences gained in core, specialty
or general practice training should not have to be repeated if already achieved. The
Academy of Medical Royal Colleges has developed the Accreditation of Transferable
Competences Framework (ATCF) to assist trainee doctors in transferring
competences achieved in one core, specialty or general practice training programme,
where appropriate and valid, to another training programme.
Trainees who decide to change career path could transfer competences achieved
in another training programme and reduce the length of their new training
programme by a maximum of 2 years.
The ATCF applies only to those moving between periods of GMC approved training
and is aimed at the early years of training. The time to be recognised within the
ATCF will need to be reviewed at the trainees first Annual Review of Competence
Progression (ARCP), if appointed.
Applicants wishing to be considered for accreditation of transferable competences
should indicate this on their application form.
Further information on the ATCF is available from the Academy of Medical Royal
Colleges.
1.6
The competition
When deciding which posts and specialties to apply for, we urge all applicants to
consider carefully the likely levels of competition involved and to be prepared to
be flexible about your choices.
These figures do not claim to show what will happen in 2015, but offer a broad
indication of which were the most and least subscribed specialties and areas in the
previous recruitment year.
You should also think about the way that healthcare is developing in the future, as well
as the competition involved in your chosen specialty and/or the LETB/deanery to which
you are applying. For example, changes in demography (especially an increasingly
elderly population) and patient expectations are creating a rapid trend towards more
healthcare being delivered in the community and primary care settings in the next five
years. Around half of the training posts in the next few years will be in General Practice,
whereas the number of posts in surgical specialties is decreasing.
10
Once you have decided which specialty or specialties you wish to apply for it is
essential that you first ensure that you are eligible to make an application. Person
specifications are available from www.specialtytraining.nhs.uk
You should familiarise yourself with the application period, find out where and
how you access the application form and make sure you read all of the
guidance information prepared by that particular specialty.
We advise that you do this as soon as possible to ensure that any queries you
have can be resolved in good time, ahead of you beginning your application.
See Annex B for links to further information
2.1
Eligibility
Eligibility checklist
Confirmed registration with the General Medical Council (GMC)
or General Dental Council (GDC)
You will need to hold (or be eligible to hold) full GMC registration status and a current
licence to practice (GDC registration status is also required for OMFS) by the time of
1
appointment to the post (unless you are applying to Public Health training and you
are from a background other than medicine). You will need to confirm this when
you apply. For further information see www.gmcuk.org/doctors/before_you_apply/registration_factsheet.asp
Trainees released or removed from training post or programme
Specialty training posts and programmes are not normally available to anyone who
has previously relinquished or been released/removed from a training
post/programme in that specialty. When applying for a post you will be asked if you
have previously relinquished or been released or removed from a training
programme in the specialty to which you are applying. If your answer is yes to this
11
question you will need to provide full details of the release/removal from a training
programme to the Recruitment Office/LETB/Deanery by email marked confidential
Contact details are available in Annex D
Please seek advice from the lead recruiting office if you are unsure as to whether this
rule affects you.
Fitness to Practise
If you make a Fitness to Practise declaration on your application form then
you should email further information about the declaration to the lead recruiter
and the region that you will be interviewed in (where this differs from the lead
recruiter). Supporting information should be emailed prior to the application
closing date. Failure to provide this by the closing date may result in your
application being withdrawn.
Your supporting information should contain:
12
would include, for example, doctors on student visas or Tier 1 of the Points-Based
System who are restricted from taking employment as a doctor in training. The
labour market test means that you would only be considered if there were no
suitable UK or EEA national (settled status) candidates for the post.
You will be asked to bring your passport and proof of your immigration status to
any interviews or assessments you attend.
Immigration Statement
The following advice on when to apply for specialty training applies for doctors
applying for entry to programmes:
You are eligible to be considered for specialty training (including GP) in both Round 1
and Round 2 if:
You are eligible to apply for core and specialty training in Round 2 if:
You are already on Tier 2 and will be applying for a different specialty
and changing sponsor. You will require Tier 2 sponsorship and will be
subject to the RLMT.
You are a non-UK or non-EEA national who has limited leave to
remain in the UK and do not fall into one of the above categories
You will require Tier 2 sponsorship and will be subject to the RLMT.
Applicants who are subject to the RLMT may only be considered if there is no
suitable UK or EEA national candidate for the post. As the RLMT will not
have been satisfied in Round 1 of the recruitment to specialty training, you
should consider applying during Round 2 if the RLMT applies to you.
Evidence of immigration status should normally consist of a biometric residence
card and date stamped passport. Please visit
https://www.gov.uk/government/organisations/uk-visas-and-immigration for more information.
See Annex C: Information for overseas nationals for more information.
13
1.
2.
3.
4.
Further information on the acceptable forms of evidence can be found on the General
Medical Councils website ( http://www.gmcuk.org/doctors/registration_applications/language_proficiency.asp)
College exams
Some specialties and levels require college examinations as an eligibility
requirement. Further details on the individual specialty requirements can be found
in the appropriate person specification.
2
If you are undertaking a recognised foundation programme in the UK which
is due to finish in August 2015, we will ask you to confirm the name of your
Foundation School. You do not need to do anything else or submit any
evidence. Any offer of a programme will be conditional upon you successfully
completing the Foundation Programme and being awarded an FACD 5.2
14
before August 2015. Those applying who will require a delayed start date due
to illness or maternity, will be permitted to apply and defer in order to allow
them to complete their Foundation Programme.
2. Already completed a Foundation Programme
If you have already completed a UK Foundation Programme within the last 3
years (since 1st January 2012), we will ask you to confirm that you have
been awarded an FACD 5.2. You MUST attach a scanned copy of your
FACD 5.2 to your application.
2.2
Each specialty (and the level at which you would enter training) has a nationally
agreed person specification that lists the required competences for that specialty.
When making an application, you will need to provide evidence proving that you have
achieved the specified competences. In some instances there will be competences
that need to be demonstrated at time of application, with a requirement for others to
be completed before commencement of the post.
15
16
3.1
The first and main recruitment round for specialty training (excluding academic
recruitment) for vacancies starting in 2015 opens for applications on 11th November
2014 closes on 4th December 2014. This will largely be for CT1/ST1 posts, though
some run through specialties (e.g. Paediatrics) will also advertise vacancies at
other levels. In the event any vacancies remain from this round, a further round
will take place from March 2015 if required.
Vacancies for ST3/4 posts in uncoupled specialties will be advertised on 11th
February 2015 with applications being open from 17th February 2015 to 11th
March 2015.
Further rounds of recruitment may happen in a number of specialties where
vacancies arise later in the year.
IMPORTANT: All recruiting offices will work to the nationally coordinated
advertisement and application windows. All recruiting offices will publish in advance
on their website, the timetable they are working to, including when applications open
and close and interview dates so that you can plan your applications. It is not
always possible to give exact numbers of vacancies, but organisations will provide
the most up to date information as possible although you should be aware post
numbers are indicative only and may be subject to change.
To find out about vacancies, you should check NHS Jobs, College and
LETB/Deanery websites on a regular basis. LETBs/Deaneries will post job vacancies
on a rolling basis from early October 2014.
3.2
You can make as many applications as you wish to different specialties, providing
you meet all the eligibility criteria and required competences of the post for which you
are applying. Please ensure that you check each individual person specification for
the role you wish to apply for.
A risk to consider is that if, at the start of the recruitment process, you apply only for
posts that are highly competitive, and you are unsuccessful in securing a post, you
could find that the choice of specialties available to apply for in Round 2 is more
limited.
We recommend that you consider the high level of competition for some
specialties and geographies, along with other factors that are important to you.
You can get an indication of the most and least popular specialties and areas from
the competition information on the medical specialty training website
http://specialtytraining.hee.nhs.uk.
It is a good idea to consult with senior colleagues and mentors about where you are
most likely to be successful.
17
3.3
You MUST also ensure that your work is your own. Any plagiarism in
applications will be treated extremely seriously and will result in further action
being taken.
18
In what way are they unique? Can you demonstrate how you will use that
experience in the specialty to which you are applying?
What exactly was your role in the example you describe? For example,
if you are using an extra-curricular activity were you a chair, secretary,
captain etc?
You should try to use different examples for each question posed.
N.B. Your portfolio MUST NOT contain patient identifiable data and should only
include your own original work.
3. Do your career research
Make sure that you really know why you are applying for a particular specialty
and what you can bring to it in terms of skills and personal attributes.
4. Plan your time
Work out how long it will take realistically to work on and complete the form,
including getting feedback from colleagues. You know the way you work best, but
manage any risks that could lead to errors or a completed application that is less
than your best.
5. Ensure you submit your application in time
Your application will take you some time to complete so ensure that you allow
yourself enough time to complete and submit it ahead of the deadline set. Under
no circumstances will late applications be considered.
6. Referees
Contact them at the earliest opportunity to check that they will be happy
to support your application, and they will be available to do so within the
application timeframe.
You will need to provide details, including up to date email addresses, of three
referees who have supervised your clinical training within the past two years. If
you are applying to more than one specialty, you may opt to nominate different
referees for each specialty. If you have recently had a career break and
cannot nominate referees from the past three years, then your referees must
include your two most recent supervisors.
If you are offered, and accept a training programme, your employer will
not be able to issue a contract without references.
7. Key content of application forms
Your application form will need to pass the first stage eligibility check before it is
considered for shortlisting and/or interview. The appropriate administrative teams
will check that you meet the eligibility criteria including;
19
Action - this is where you demonstrate and highlight the skills and
personal attributes that the question is testing. Explain what, how and
why you did what you did. Talk about you, not everyone else.
20
LETBs/Deaneries will publicise all their assessment centre/interview dates and you
must consider this when applying for posts.
You should be aware that there may only be a short time during which you will be
expected to confirm whether you will be attending the interview. If you
subsequently accept another offer, please let the LETB/Deanery know so that
you may be withdrawn from the interview.
You should check the LETB/Deanerys policies on equality and diversity, for
example, whether they have a Guaranteed Interview Scheme for applicants with a
declared disability who meet the person specification criteria. You will be asked to
show on your application form if you consider yourself disabled as set out in the
Equality Act 2010 and whether you wish to be considered under the Guaranteed
Interview Scheme. This information will not be available to short-listing panels. For
further information visit:
http://www.direct.gov.uk/en/DisabledPeople/RightsAndObligations/index.htm
Recruiters will ensure, where possible, that reasonable adjustments are made at
interview to meet the needs of applicants with disabilities. Applicants must
ensure that they enter into an early dialogue with the recruiting organisation.
4.1
Shortlisting
Where applicable, details of the scoring scheme should be made available to you.
Where shortlisting takes place those who pass the eligibility checks will go ahead to
be scored. The top-scoring applicants will be invited to interview or assessment.
21
Typically, the LETB/deanery will invite more people to interview than there are posts
available.
Due to the large volume of applicants, some LETBs/Deaneries will only contact you if
you are being invited to interview. If you have not heard by the interview date you
can assume you have not been shortlisted.
If you are not successful at the shortlisting stage, you will receive feedback from the
LETB/Deanery managing the recruitment process. If you feel your application has
not been managed correctly and have evidence of a failure in the process, there is
a national complaints procedure. You should contact the recruitment office to which
you applied if you have any concerns about your application, or you would like to
know more about the complaints procedure.
4.2
Interviews last for a minimum of 30 minutes. The interview panels main aim is to
find out whether you meet the requirements of the person specification for the
post for which you are applying, and to make sure that only the best candidates
are selected in this highly competitive process.
The structure and content of interviews will vary across LETBs/deaneries, specialties
and levels. The interview could include a scenario where you are asked to respond to
a clinical professional situation. This could be through oral questions or through a
written exercise before you meet the interview panel. In some instances, you may be
asked to demonstrate a practical skill. The invitation to interview should detail the
interview panels and the competences that will be assessed in each.
Prior to the interview, members of the panel will have had access to your
(anonymised) application form. However, they will not have access to
the equal opportunities or personal data section of your application form.
Panel members will individually complete a score sheet for each candidate and make
any comments. The aggregate score given by all the panel members will be the final
score of the interview.
4.3
The LETB/Deanery will give you clear information about what will be required from
you at interview. As a minimum, expect to take the following documents and you may
be required to take several copies:
Original proof of identity (e.g. passport or other photo-ID)
22
This is not an exhaustive list. You will need to check the LETB or
Deanerys requirements.
If you are shortlisted, you will need to consider ways to provide evidence of having
met Foundation and other required competences. You will be asked to bring your
professional portfolios to the interview.
Relevant evidence may include:
Trainers reports
Log book of clinical activity
Audits
Written workplace assessments, e.g. min-PAT, mini-CEX, CbD, DOPS.
These are just some examples and should not be taken as an exhaustive list;
you should check for any specific guidance from the specialty or specialties to
which you are applying.
Be prepared to answer questions on which parts of your professional portfolio
link to statements made in your application form. You should be prepared to
provide evidence for any and every statement made on your form.
NB Your portfolio MUST NOT contain patient identifiable data and must only
include your own original work. In previous years there have been examples
where some applicants have presented work which is not their own. If this
happens evidence will be collected and the person concerned reported to
the GMC.
4.4
You may find it helpful to discuss with your clinical tutor or local
consultants within the specialty for which you have applied about the
type of areas the interviewers might seek to address.
If you are driving, make sure you know where you are going to park not
all interview locations will have parking available.
If you have to be somewhere after the interview, for example you are
scheduled to be on call, you should alert the interview coordinator as soon as
possible, as interview schedules often unavoidably run behind time.
You may be eligible to apply for travel expenses for the interview. You
should ask about this prior to attending the interview. It should not be
assumed that all costs would be reimbursed.
23
4.5
Training offers
th
th
If you are deemed eligible for appointment but ranked below the number of
vacancies available, you could still receive an offer if offers have been rejected by
higher-scoring applicants.
4.6
The UK health departments have been working with trainee doctors and other
stakeholders to put in place an offers process allowing applicants to receive all
their training offers electronically. The process for making offers for specialty
training posts will coordinate all first offers across all specialties so that applicants
can accept, reject or hold an offer.
All specialty training offers will be made through Oriel.
Selecting Preferences (LETB/Deanery or specific programmes within a
LETB/Deanery)
In the period between submitting your application and initial offers being made, you
will be asked to specify your preferences. Depending on the specialty you have
applied to, a preference may mean a LETB/Deanery or it may refer to specific
programmes available at a LETB/Deanery preferenced in your initial application.
Preferences can be ranked on Oriel.
Your preferences along with your final rank are used to determine which offer, if any,
you receive. If you are deemed to be appointable after interview, then you may be
made an offer of your highest available preference. The higher you are ranked at
interview, the more likely you are to be offered your preference, although all offers
are subject to eligibility and post availability.
If you are not prepared to accept an offer of training in a certain
LETB/Deanery, then you should not rank it.
By ranking a preference (for a LETB/Deanery or specific programmes within a
LETB/Deanery), you are stating that you would be prepared to undertake a training
24
programme in that area, if none of your other preferences are available to you.
It is important that you think carefully about this choice when applying for posts.
Interview panels will not have access to your preferences.
Please read the programme descriptions carefully, paying close attention to the
LETB/Deanery in which the post is actually located as this may not be within the
LETB/Deanery that manages the recruitment to the post.
Receiving an Offer
If you receive an offer through Oriel, you will be able to accept, reject or hold
(until a set date). In responding, this implies acceptance of certain conditions.
You will have 48 hours from the time of your offer, including weekends and
bank holidays, to decide whether to accept, reject or hold it.
IF YOU DO NOT RESPOND TO YOUR OFFER WITHIN 48 HOURS, THE OFFER
WILL EXPIRE AND IT WILL BE OFFERED TO ANOTHER APPLICANT.
However if you intend to reject, please do so as soon as possible as this will allow
the offer to be made to another applicant. If you were not offered a post in the initial
release of offers, this does not mean you will not be offered one later on, as offers
are recycled if other applicants reject them.
Upgrading
If you receive an offer through Oriel you will automatically receive upgrades if you
accept or hold an offer AND opt in for upgrades. This means that should a higher
ranked preference become available in a LETB/Deanery where you have held or
accepted an offer, and you are the next ranked applicant in line for this preference
you will be upgraded to this offer with no option to revert to your original offer.
You can opt out of upgrades at any point and this option is on your candidate home
screen. If you choose to accept or hold your offer with upgrades, then you will be
directed to an additional page, which shows you all your higher preferences. You will
be able to edit your higher preferences at this point by opting out of ones you are no
longer interested in.
Upgrades to offers are processed once all other offers for the specialty have been
responded to. As offers expire after 48 hours, you should expect that upgrades will
normally be processed every 48 hours, during the working week. Upgrades will not
be processed at the weekend or on bank holidays.
th
Upgrading will continue until Thursday 26 March 2015 for CT/ST1 core and runnd
through training posts and Friday 22 May 2015 for CT2/ST3 higher specialty
training posts and re- advertised CT/ST1 posts. Upgrading of offers will not take
place after the stated deadlines, even if a preferred post becomes available at a
later date.
25
Response
Accept
nd
th
Hold
26
Close of Holding
Before the deadline for holding posts, offers must be confirmed as
accept, accept with upgrades or reject if no action is taken the
held offer will be deemed expired and will be REJECTED.
Notes:
Upgrades are automatic when opting to Hold with Upgrades. If
an improved preference becomes available your current offer will
AUTOMATICALLY be upgraded. Applicants are subsequently
notified of this upgrade by email. You can opt out of upgrades at
any point in your Oriel account.
If a currently held offer is released as a result of moving the HOLD
to another specialtys offer then the previously held offer is rejected.
Reject
Withdraw
An applicant choosing this option will have their offer removed and
receives no further offers from this specialty within that round.
Applicants will continue to receive offers from other specialties if
available.
NOTE: If you do not respond to your offer within 48 hours, we will
interpret this as meaning you have rejected the offer and it will be
offered to another applicant.
An applicant may withdraw completely from the process at any
point, and should do so via Oriel.
27
Hierarchical Upgrades
st
th
Up until 31 March 2015 in Round 1 and 27 May in Round 2, applicants who have accepted posts can continue to receive hierarchical upgrade offers.
The following table shows the circumstances in which applicants will be able to receive offers.
Offer
Accepted
LAT1/2/3
FTSTA
CT1
CT2
CT3
ST1
ST2
ST3
ST4
ST5
ST6
ST7
LAT2/
LAT3
FTSTA
CT1
CT2
CT3
ST5
ST6
ST7
ST8
ACF
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
ST8
Sub-Spec
SubSpec
ACF
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
28
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
The offer of employment is distinct from your training agreement with the LETB/Deanery.
You may change employers several times during your training period.
The first employer will need to complete pre-employment checks before you can begin
working for them. Pre-employment checks are designed to ensure that every doctor working
in the NHS is fit and safe to work with patients. You will be asked to make declarations on
your application form relating to your honesty and probity.
Checks will include verification of references, fitness to practise updates from the General
Medical Council (GMC) or other regulatory bodies, occupational health clearance, Disclosure
and Barring Service (DBS) and immigration status checks. They may also include validation
of the evidence you presented at the interview, such as English language proficiency.
Once pre-employment checks have been completed successfully, the employer will confirm
new starter details with you.
You should receive your contract within two months of starting in post, as per
NHS Employers guidance.
29
You are expected to take up any employment you have formally accepted and to work your
contracted notice period. Agreed terms, such as the notice period, will apply even if you
have not yet received your contract.
You have a responsibility for patients and services. As the GMCs Good Medical Practice
points out, patient care may be compromised if there is insufficient medical cover. The better
approach would be to make sure your employer has a reasonable time to make other
arrangements (as a minimum, the contractual notice period).
Failure to arrive for work on the start date previously notified by your employer could affect
patient services and their care, and may have an adverse impact on the working
conditions of medical colleagues. You may be in breach of contract if you do not comply
with the minimum contractual notice.
4.7
Feedback
Longlisting
Shortlisting (if applicable)
Interview/selection centre
This will be given no later than 7 days after the national offer deadline. Where available, the
feedback will include the following:
Your score per station
Your appointability and the minimum score required for appointability (as appropriate)
Your ranking and the rank needed to obtain a post. Please note, if you do not reach
the required threshold for appointability, you will not be given a rank.
4.8
You can only defer the start of your training programme on statutory grounds such as
ill health or maternity leave. You can no longer defer your start date for reasons such
as research.
4.9
Avoiding problems
Make sure that you provide a reliable email address for all communications. It is
essential that you do not share an email address with another applicant.
Inform the recruiting office of any reason that may cause you to be non-contactable,
for example, if you are going on holiday, or are going to be on call. Most
LETBs/Deaneries will consider this, but you must tell them this in advance and make
alternative arrangements with them.
Some applicants experience problems with the email accounts they use. Make sure
that correspondence from recruitment offices is not automatically filtered to your
spam/junk email folder by adding LETB/Deanery contacts to your safe senders list.
Also, make sure that you check your emails regularly.
30
4.10
Applicants, who are still waiting for offers following interviews, should not be alarmed to
see the same specialties advertised again at the beginning of the year. No offers will be
made until clearing has closed. LETBs/Deaneries are advertising based on the knowledge
that there will still be opportunities available. This does not in any way disadvantage your
application in the first round of recruitment.
Please note that if you have accepted a Round 1 post and decide to apply again in Round 2,
you will need to give the required period of notice before you can take up the new post.
4.11
During the second round of recruitment, competition will be open to non-UK/EEA applicants
subject to the RLMT. All eligible applicants will be interviewed in accordance with UK
immigration rules. Priority will be given to UK/EEA applicants and posts will only be offered
to non-UK/EEA applicants who are subject to the RLMT if they cannot be filled by UK/EEA
applicants.
For more information, please see Annex C for Information for Overseas Nationals.
4.12
You can still apply for vacancies in the next advertisement for 2015 recruitment, even
if you have already accepted a post in the first round of recruitment.
If you have already received and accepted an offer of employment, you must make it known
to the LETB/Deanery to which you are applying that you have already secured a post in the
first round and you will also need to notify the LETB/Deanery where you had originally
accepted the training offer. You need to do this at the time of applying and at your interview.
This will not prejudice your application. This is purely for the benefit of the organisations that
are providing patient care, so that they can manage services and maintain standards.
You will also be required to give notice before you can take up the new post. Even
though you may not have received your written contract, you should discuss the notice
required with the employing organisation.
You have a responsibility for patients and services. As the GMCs Good Medical Practice
points out, patient care may be compromised if there is insufficient medical cover. The better
approach would be to make sure your employer has a reasonable time to make other
arrangements (as a minimum, the contractual notice period).
Failure to arrive for work on the start date previously notified by your employer could affect
patient services and their care, and may have an adverse impact on the working
conditions of medical colleagues. You may be in breach of contract if you do not comply
with the minimum contractual notice.
4.13
Your Educational Supervisor may be able to offer individual careers advice and suggest options
to you. You may also be able to speak to the Clinical Tutor or Director of Medical Education in
your local hospital. Many of the Colleges have general advice on their websites
31
for doctors considering a career in their specialty. Some of the Colleges and specialty
organisations also offer a counseling/advisory service for individuals with career difficulties.
The BMA offer a careers guidance service. For a list of useful links, see Annex A.
5.1
As an applicant, you may need support, career information and guidance to help you make
the best choices in entering the next round of recruitment.
The LETB/Deanery in which you are currently working should be able to offer careers
advice, in addition to the advice you can get from your existing senior colleagues and
mentors. Trust consultants, clinical tutors and others should be well informed by
LETBs/Deaneries with up to date process details.
If you are not sure about your local arrangements, check your LETB/Deanery website or ask
for information about how to get confidential advice and support. This information should
include for example, contact details for your local Occupational Health Department,
employment assistance programmes and other organisations. The British Medical
Associations Doctors for Doctors Unit, for example, gives doctors in distress or difficulty the
choice of speaking in confidence to another doctor about a wide variety of issues including
the pressures and stresses of work and of the application process.
In summary, the best ways for you to receive support at the application or interview stage
are as follows:
Doctors from outside the UK or not in current medical employment who are considering
applying for specialty training should contact the LETB/Deanery they are applying to, and/or
relevant Royal College for advice.
5.2
You should expect to receive helpful information from the LETB/Deanery to which you are
applying.
National guidance for LETBs/Deaneries recommends the following basic elements of
applicant support throughout the recruitment process.
LETB/Deanery websites will provide clear guidance to applicants including:
32
Email helpdesk services will be available in each LETB/Deanery. The email address will
be advertised on the LETB/Deanery websites.
5.3
Helpdesks will respond via email to applicants queries within two working days.
(Queries received within 48 hours of the relevant application deadline will be
prioritised.)
Applicants should receive an automated response to any emails sent to the
LETB/Deanery, so they know their email has been received.
If resources allow, there should also be a dedicated recruitment telephone
helpline, details will be advertised on LETB/Deanery websites.
There are many sources of information and advice, such as the Royal Colleges,
British Medical Association, BMJ Careers, GMC, NHS Employers and NHS Medical
Careers website.
See Annex B for useful links to further information.
5.4
All recruitment processes must meet legal requirements. Patient care and safety
are the priority concern.
The minimum standards shown below are part of a short set of national rules for
LETBs/Deaneries and employer organisations. Any variation from the national rules would
have to be a reasonable and proportionate response to local circumstances and not lead to
conspicuously unfair results.
As a minimum, all posts must be advertised on NHS Jobs
All posts must be advertised for a minimum of four calendar weeks
Application forms and the interview processes must map to the national person
specifications
The nationally agreed application form should be used except where specific
agreement has been given not to do so
Applicants will be able to apply for multiple training programmes. The exact number
All applications submitted before the deadline will be considered, provided they
meet eligibility requirements as outlined in the relevant person specification
Shortlisters and interviewers must get a full copy of the application form, but must not
have access to the equal opportunities information or personal data.
Interviewers will take account of applicants portfolios, their structured CV and the
summary of their portfolio of evidence
Complaints procedure
Recruitment offices and LETBs/Deaneries use a nationally agreed process for handling
complaints about recruitment. You should contact the recruitment office to which you
applied if you have any concerns about your application, or you would like to know
more about the complaints procedure.
34
I wish to apply for an NIHR ACF post to commence in 2015. What is the process?
You will need to apply for the NIHR ACF post through the Local Education Training Board (LETB)
where the post will be based, using the Oriel system. The recruitment is managed by the relevant
LETB, and advertisements will appear on their website from October 2014.
Shortlisted candidates will be invited for ACF interviews organised by the LETB, which will have an
academic and clinical component, you will be required to pass all components of the interview.
If you do not already hold a National Training Number (NTN) or Deanery Reference Number (DRN) in
the GMC specialty to which you are applying for you will be required to undertake the national clinical
recruitment process and attend an assessment/interview for that GMC specialty as appropriate.
It is advised that ACF applicants without a NTN/DRN also submit an application for standard clinical
training in that specialty, this is not mandatory.
I hold a clinical National Training Number (NTN) in the GMC specialty associated with the ACF
I am applying for. Will I still need to attend a national clinical assessment/interview?
No. You will have already passed the assessment at the national clinical interview for this GMC
specialty previously and therefore will not have to do so again.
I hold a Deanery Reference Number (DRN) having previously successfully applied for core
level training. Will I still need to attend a national clinical assessment/interview?
If you hold a DRN whilst applying for a post linked to a GMC specialty that has relevant core level
training (e.g. core trainee in Anaesthetics, Core Medical Training for medical specialties and Core
Surgical Training for surgery), then you will have already passed the assessment at the clinical
interview previously and therefore will not have to do so again.
If the core level training you are undertaking is not relevant to the GMC specialty you will be applying
for in the NIHR ACF then you will need to undergo the national clinical assessment/ interview for that
specialty.
I hold a National Training Number, but not in the same GMC specialty that I am applying for
academic training. Will I still need to attend a national clinical assessment/interview?
Yes. Although you have met the required standard in a national clinical interview before, it was not in
the same GMC specialty. Therefore, to ensure a consistency of approach with all applicants, you will
need to undergo a national clinical assessment/interview for this GMC specialty.
35
Process:
What happens if I do not reach the required standard in the national clinical assessment/
interview?
Your NIHR ACF offer will be withdrawn by the relevant recruitment office.
What will be the likely delay between my ACF interview and my national clinical interviews?
It depends on the level of the NIHR ACF post that you are applying for. NIHR ACF interviews will
normally take place in November/December 2014. National clinical assessments/interviews for ST1
specialties will take place between January and March 2015. ST3 national clinical
assessment/interviews take place between March and May 2015.
If you are applying for a NIHR ACF in either General Practice or Cardiothoracic Surgery, the clinical
and academic interview processes run at the same time, via the respective national recruitment
processes.
36
Royal Colleges
The Royal College of
Anaesthetists http://www.rcoa.ac.uk
College of Emergency Medicine
http://www.collemergencymed.ac.uk
The Royal College of General Practitioners
http://www.rcgp.org.uk
The Royal College of
Nursing http://www.rcn.org.uk
The Royal College of Obstetricians and
Gynaecologists http://www.rcog.org.uk
The Royal College of Ophthalmologists
http://www.rcophth.ac.uk
The Royal College of Paediatrics and Child
Health http://www.rcpch.ac.uk
The Royal College of Pathologists
http://www.rcpath.org
The Royal College of Physicians in
Edinburgh http://www.rcpe.ac.uk
The Royal College of Physicians in
London http://www.rcplondon.ac.uk
The Royal College of Physicians and Surgeons of
Glasgow http://www.rcpsg.ac.uk
The Royal College of Psychiatrists
http://www.rcpsych.ac.uk
The Royal College of Radiologists
http://www.rcr.ac.uk
37
Other Links
British Medical Association
http://bma.org.uk
Department of Health
https://www.gov.uk/government/organisations/departmentof- health e-learning for Healthcare
www.e-lfh.org.uk
Foundation Programme
http://www.foundationprogramme.nhs.uk/pages/home
38
NHS Confederation
http://www.nhsconfed.org
NHS Employers
http://www.nhsemployers.org
NHS Improving Quality
http://www.nhsiq.nhs.uk
NHS Jobs
http://www.jobs.nhs.uk
39
If you do not fall within one of the categories cited, any sponsor will have to apply for a
restricted CoS and you will have to return home and make an application out of country
the issue of a restricted CoS and / or a successful application for new entry
clearance cannot be guaranteed.
Non UK / EEA nationals who have graduated from a UK medical or dental school will have an
additional exemption from the Resident Labour Market Test when moving from their Foundation
Programme (in Tier 4) directly into specialty training (in Tier 2). This is a one off exemption
when switching from Tier 4 to Tier 2.
All applicants for specialty training must hold or be eligible to hold full registration with the GMC.
The tables below set out the main categories of limited leave to remain and eligibility to
take up specialty training programmes.
UK / EEA
Category
UK national
Partner / civil partner or spouse of a UK
national on a probationary period
Fianc(e)s of a UK national
3
EEA nationals
(excluding Croatian
nationals)
Croatian nationals
Status
Can apply to a training programme
Applicant will be given an initial grant of 5
years then can apply for Indefinite Leave
to Remain if the relationship is considered
genuine by UKBA.
Can apply to a training programme
Cannot apply to a training programme
Can apply to a training programme
Can apply to a training programme, but if
appointed will need Tier 2 work
authorisation unless they have been
working in the UK for a year or more
those taking up their first appointment in
the UK will require a restricted CoS (see
above)
Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France,
Germany, Greece, Hungary, Iceland, Republic of Ireland, Italy, Latvia, Liechtenstein,
Lithuania, Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Romania,
Slovakia, Slovenia, Spain, Sweden, United Kingdom
Swiss nationals
Tier 1 Visas
Category
Tier 1 (Post Study Work) no restriction on
employment as a doctor or dentist in training
UK graduates only
Status
Can apply to a training programme.
Applicant will have to switch to Tier 2 visa
but will be RLMT exempt see
https://www.gov.uk/tier-2-general/eligibility
41
Tier 2
Category
Status
42
Status
Tier 5
Category
Status
Status
43
44
Email Address
For Public Health applicants:
heem.publichealthrecruitment@nhs.net
For all other specialties:
heem.medicalrecruitment@nhs.net
HEEE.recruitmenthelpdesk@nhs.net
declaration@kss.hee.nhs.uk
lethelpdesk@ne.hee.nhs.uk
lead.employer@sthk.nhs.uk
norwest-dean.ftp@nhs.net
PEN.STRHelpdesk@southwest.hee.nhs.uk
severn.stsupport@southwest.hee.nhs.uk
recruitment@thamesvalley.hee.nhs.uk
For Cardiothoracic Surgery applicants:
ctsurgery.recruitment@wessex.hee.nhs.uk
For Paediatric Cardiology applicants:
paediatric.cardiologyrecruitment@wessex.hee.nhs.uk
specialty.recruitment@yh.hee.nhs.uk
confidentialenquiries@southlondon.hee.nhs.uk
N/A emails to be sent to LETB/Deanery preference
N/A emails to be sent to LETB/Deanery preference
paedjobs@rcpch.ac.uk
N/A emails to be sent to LETB/Deanery preference
RecruitmentConfidential@nes.scot.nhs.uk
hr.nimdta@hscni.net
confidentialenquiries@cf.ac.uk
45
Recruiting Office
Health Education East Midlands
Email Address
For Public Health applicants:
heem.publichealthrecruitment@nhs.net
For all other specialties:
heem.medicalrecruitment@nhs.net
HEEE.recruitmenthelpdesk@nhs.net
declaration@kss.hee.nhs.uk
lethelpdesk@ne.hee.nhs.uk
lead.employer@sthk.nhs.uk
norwest-dean.ftp@nhs.net
PEN.STRHelpdesk@southwest.hee.nhs.uk
severn.fitness@southwest.hee.nhs.uk
recruitment@thamesvalley.hee.nhs.uk
wessex.recruitment@wessex.hee.nhs.uk
fitnesstopractise@wm.hee.nhs.uk
specialty.recruitment@yh.hee.nhs.uk
fitnesstopractise@southlondon.hee.nhs.uk
N/A emails to be sent to LETB/Deanery
preference
N/A emails to be sent to LETB/Deanery
preference
Fitness.ToPractise@rcpch.ac.uk
N/A emails to be sent to LETB/Deanery
preference
recruitment.ftp@nes.scot.nhs.uk
hr.nimdta@hscni.net
FTPWales@cardiff.ac.uk
46